Case Male, 66 years old, is acute due to "persistent poststernal pain for 6h" The cause of the disease is due to pain a
Posted: Thu Mar 31, 2022 7:55 am
Case
Male, 66 years old, is acute due to "persistent
poststernal pain for 6h" The cause of the disease is due to pain
after arguing with neighbors, It is a crushing pain, accompanied by
cold sweat, nausea, vomiting a little stomach contents. Under the
tongue contains nitroglycerin 2 times, The pain is not
significantly reduced。Previous medical history of coronary heart
disease, angina 3 years; hyperlipidemia ; smoke for 40 years, one
pack per day. Myocardial enzyme examination: CK—MB:41U/L, CTN-T:1.
5 ng/ml; random blood glucose 6. 8 mmol/L; ECG: sinus rhythm, V1 to
V3, lead ST segment arch dorsal elevation。
Questions:
1.What is the diagonosis of the patient? What is the basis?
2.Which chest pain disorders are life-threatening, and how to
judge the severity of chest pain patients？
3.What treatment and nursing intervention should be taken after
hospitalization?
Male, 66 years old, is acute due to "persistent
poststernal pain for 6h" The cause of the disease is due to pain
after arguing with neighbors, It is a crushing pain, accompanied by
cold sweat, nausea, vomiting a little stomach contents. Under the
tongue contains nitroglycerin 2 times, The pain is not
significantly reduced。Previous medical history of coronary heart
disease, angina 3 years; hyperlipidemia ; smoke for 40 years, one
pack per day. Myocardial enzyme examination: CK—MB:41U/L, CTN-T:1.
5 ng/ml; random blood glucose 6. 8 mmol/L; ECG: sinus rhythm, V1 to
V3, lead ST segment arch dorsal elevation。
Questions:
1.What is the diagonosis of the patient? What is the basis?
2.Which chest pain disorders are life-threatening, and how to
judge the severity of chest pain patients？
3.What treatment and nursing intervention should be taken after
hospitalization?